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CHRIS LEWIS: For the
funding priorities,
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they very much differ
according to the needs.
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In many of the crises, DFID
will have their specialist teams
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on ground with advisors,
and very much will
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be identifying where are
the priorities for funding?
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And therefore,
channelling funding
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according to the need that
they see on the ground,
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as well as often, DFID
may well have more longer
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term funding mechanisms
in different crises,
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which it'll be using as well.
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So for example,
in some countries,
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DFID is contributing to
pooled funding mechanisms
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or to multi-year
humanitarian programming.
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And so it gives much
more of a longer term
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perspective, particularly in
the case of protracted crises.
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So if people are
interested in what
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are the DFID priorities
going forward, in general,
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I'd recommend that people
have a look at the UK Aid
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Strategy, which was
published in November 2015.
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And it's available online, so
you can just Google 'UK Aid
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Strategy'.
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And it lays out that the UK has
four strategic objectives going
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forward, which is: strengthening
global peace, security,
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and governance, strengthening
resilience and response
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to crises, promoting
global prosperity,
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and tackling extreme poverty
and helping the world's most
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vulnerable.
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And actually, if we're talking
about humanitarian health
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specifically, it
falls very clearly
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within two of these, which
is the second, strengthening
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resilience and
response to crises,
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and tackling extreme poverty
and helping the world's
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most vulnerable.
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And in addition, the
UK Aid Strategy talks
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about that 50% of the DFID
spend will be happening
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in fragile states and regions.
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There are a number of countries
where DFID is delivering both
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health and humanitarian
programmes.
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And so in some contexts,
DFID has multi-year health
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programmes that are able to
flex and adapt to the needs
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of the humanitarian crises.
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And we see that in contexts
like South Sudan and Somalia,
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where we have health programmes
over many years in countries
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which experience a
number of shocks,
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and the programmes
have to adapt to these.
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And at the same time, we
have multi-year humanitarian
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programmes that include
significant health elements,
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again, in contexts
like South Sudan.
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So very much sometimes DFID's
humanitarian health funding may
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be delivered through
a health mechanism,
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a multi-year health programme,
or it may be delivered through
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a humanitarian mechanism, either
a multi-year or a short-term
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humanitarian funding mechanism.
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So it is always worth being
aware of both the health
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and humanitarian mechanisms
that exist in the country.
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I think historically, we've seen
that health research has not
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been a priority in
humanitarian crises.
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There have been a number of
articles written about this.
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And really, it was
one of the things,
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as we were thinking
about R2HC, which
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is Research for Health in
Humanitarian Crises, which
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is a funding mechanism
for public health
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and humanitarian crises,
funded by Wellcome and DFID
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and delivered through Elrha.
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As we were looking
at the funding space,
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we realised it was
a significant gap,
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and it hadn't been a
consistent and a priority.
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There weren't
long-term mechanisms
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for funding of this research.
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And as a consequence,
the evidence in this area
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was very weak, and
haphazard, according
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to the different specific
area we were looking at.
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But rather than when we were
looking at the sea of evidence,
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rather than finding
a sea of evidence,
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we found islands of evidence and
sort of a sea and lots of gaps.
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So DFID and Wellcome
Trust are funding
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R2HC, which is
Research for Health
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in Humanitarian Crises, which
is delivered through Elrha.
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So R2HC launches annual
calls for proposals,
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and has really helped
to increase the research
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and evidence in this area.
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But there's certainly
a lot more that we
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can do, both in terms
of the research,
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and particularly
research in areas
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where there is evidence
that's lacking,
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such as reproductive
health in emergencies,
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such as prioritisation
of interventions.
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Maybe value for money.
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There's a huge
number of areas where
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a lot more evidence is needed.
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And not only is more
evidence needed,
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actually, we need to be using
this evidence effectively
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and applying the
evidence that we
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have as effectively
as possible to improve
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the impact of our interventions
in humanitarian crises.
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